Menon Nandakumar, Turcotte Justin, Speciale Alessandro, Patton Chad M
AAMC Orthopedics, Anne Arundel Medical Center, 2000 Medical Parkway, Suite 101, Annapolis, MD, USA.
J Orthop. 2020 Apr 26;22:146-150. doi: 10.1016/j.jor.2020.04.001. eCollection 2020 Nov-Dec.
OBJECTIVE: To compare perioperative outcomes between cortical bone trajectory (CBT) instrumentation with pedicle screws (PS) in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis. METHODS: A consecutive series of 91 patients from a single institution between January 2017 and July 2019 were retrospectively reviewed. RESULTS: Patients in CBT group had significantly shorter operative time, lower blood loss and shorter length of stay. CONCLUSION: CBT instrumentation demonstrated favorable perioperative outcomes that may enhance the overall value in patients undergoing laminectomy and posterolateral fusion for single-level lumbar spinal stenosis, and degenerative grade I spondylolisthesis.
目的:比较在接受单节段腰椎管狭窄症及退变性I度腰椎滑脱症椎板切除及后外侧融合术的患者中,使用皮质骨轨迹(CBT)器械与椎弓根螺钉(PS)的围手术期结果。 方法:回顾性分析了2017年1月至2019年7月来自单一机构的连续91例患者。 结果:CBT组患者的手术时间明显更短,失血量更低,住院时间更短。 结论:CBT器械显示出良好的围手术期结果,这可能会提高接受单节段腰椎管狭窄症及退变性I度腰椎滑脱症椎板切除及后外侧融合术患者的整体价值。
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